Andrew James Kelly, DO

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

OS018602 Issued in PA

Practice address

822 Pine St Ste 3a
Philadelphia, PA 19107-6187

Phone

(215) 829-5358

Fax

(215) 923-6442

NPI assigned

May 1, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AHGABA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pennsylvania Rheumatology Associates, P.C.

  • Rheumatology Physician
  • Philadelphia, PA
  • NPI 1801841739
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1588922215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 PINE ST STE 3A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076187",
            "telephone_number": "215-829-5358",
            "fax_number": "215-923-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 PINE ST STE 3A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076187",
            "telephone_number": "215-829-5358",
            "fax_number": "215-923-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-01",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "OS018602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie L Kellom, M.S.S.
• Kelly Peters Counseling
• Regina Kelly-Hartshorne, NP
• Amanda Grace Kelly, M.D.
• Andrea Kelly, M.D.
• Anne Kelly, LSW, M.ED
• Autumn Kelly, STUDENT
• Barbara Ann Kelly, MD
• Beverly Kelly
• Brendan Joseph Kelly, MD

• Rheumatology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Rheumatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.